Abstract
Autoimmunity directed against retinal or choroidal antigens has been suggested to play a role in the chorioretinal lesions observed in patients with Fuchs' heterochromic cyclitis. This hypothesis was addressed and patients with Fuchs' heterochromic cyclitis were tested for cellular immunity (migration inhibitory factor assay) against human retinal S-antigen. A significantly higher percentage of patients with Fuchs' heterochromic cyclitis had a positive cellular autoimmune response to S-antigen than healthy controls and other patients with anterior uveitis. This finding is remarkable since Fuchs' heterochromic cyclitis is generally classified as an anterior uveitis and patients with Fuchs' heterochromic cyclitis without chorioretinal lesions also had a positive test. In view of these results and a sensitisation against a corneal antigen reported earlier in Fuchs' heterochromic cyclitis, it is suggested that a chronic low grade grade anterior uveitis or chorioretinitis of unknown origin may cause the release of potent autoantigens in these patients.
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- Arffa R. C., Schlaegel T. F., Jr Chorioretinal scars in Fuchs' heterochromic iridocyclitis. Arch Ophthalmol. 1984 Aug;102(8):1153–1155. doi: 10.1001/archopht.1984.01040030931016. [DOI] [PubMed] [Google Scholar]
- Arocker-Mettinger E., Asenbauer T., Ulbrich S., Grabner G. Serum interleukin 2-receptor levels in uveitis. Curr Eye Res. 1990;9 (Suppl):25–29. doi: 10.3109/02713689008999415. [DOI] [PubMed] [Google Scholar]
- Doekes G., van der Gaag R., Rothova A., van Kooyk Y., Broersma L., Zaal M. J., Dijkman G., Fortuin M. E., Baarsma G. S., Kijlstra A. Humoral and cellular immune responsiveness to human S-antigen in uveitis. Curr Eye Res. 1987 Jul;6(7):909–919. doi: 10.3109/02713688709034859. [DOI] [PubMed] [Google Scholar]
- Donoso L. A., Eiferman R. A., Magargal L. E. Fuchs' heterochromic cyclitis associated with subclavian steal syndrome. Ann Ophthalmol. 1981 Oct;13(10):1153–1155. [PubMed] [Google Scholar]
- FRANCESCHETTI A. Heterochromic cyclitis: Fuchs' syndrome. Am J Ophthalmol. 1955 Apr;39(4 Pt 2):50–58. doi: 10.1016/0002-9394(55)90152-5. [DOI] [PubMed] [Google Scholar]
- FRANCOIS J., MASTILOVIC B. [Fuchs' heterochromia associated with chorioretinal heredo-degeneration]. Ann Ocul (Paris) 1961 May;194:385–396. [PubMed] [Google Scholar]
- Fauci A. S., Dale D. C. The effect of in vivo hydrocortisone on subpopulations of human lymphocytes. J Clin Invest. 1974 Jan;53(1):240–246. doi: 10.1172/JCI107544. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Forrester J. V., Stott D. I., Hercus K. M. Naturally occurring antibodies to bovine and human retinal S antigen: a comparison between uveitis patients and healthy volunteers. Br J Ophthalmol. 1989 Feb;73(2):155–159. doi: 10.1136/bjo.73.2.155. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Froebel K. S., Armstrong S. S., Cliffe A. M., Urbaniak S. J., Forrester J. V. An investigation of the general immune status and specific immune responsiveness to retinal-(S)-antigen in patients with chronic posterior uveitis. Eye (Lond) 1989;3(Pt 3):263–270. doi: 10.1038/eye.1989.36. [DOI] [PubMed] [Google Scholar]
- Hirose S., Tanaka T., Nussenblatt R. B., Palestine A. G., Wiggert B., Redmond T. M., Chader G. J., Gery I. Lymphocyte responses to retinal-specific antigens in uveitis patients and healthy subjects. Curr Eye Res. 1988 Apr;7(4):393–402. doi: 10.3109/02713688809031789. [DOI] [PubMed] [Google Scholar]
- KIMURA S. J., HOGAN M. J., THYGESON P. Fuchs' syndrome of heterochromic cyclitis. AMA Arch Ophthalmol. 1955 Aug;54(2):179–186. doi: 10.1001/archopht.1955.00930020181003. [DOI] [PubMed] [Google Scholar]
- La Heij E., Rothova A. Fuchs's heterochromic cyclitis in congenital ocular toxoplasmosis. Br J Ophthalmol. 1991 Jun;75(6):372–373. doi: 10.1136/bjo.75.6.372. [DOI] [PMC free article] [PubMed] [Google Scholar]
- La Hey E., Rothova A., Baarsma G. S., de Vries J., van Knapen F., Kijlstra A. Fuchs' heterochromic iridocyclitis is not associated with ocular toxoplasmosis. Arch Ophthalmol. 1992 Jun;110(6):806–811. doi: 10.1001/archopht.1992.01080180078032. [DOI] [PubMed] [Google Scholar]
- Liesegang T. J. Clinical features and prognosis in Fuchs' uveitis syndrome. Arch Ophthalmol. 1982 Oct;100(10):1622–1626. doi: 10.1001/archopht.1982.01030040600009. [DOI] [PubMed] [Google Scholar]
- Loewenfeld I. E., Thompson H. S. Fuchs's heterochromic cyclitis: A critical review of the literature. I. Clinical characteristics of the syndrome. Surv Ophthalmol. 1973 May-Jun;17(6):394–457. [PubMed] [Google Scholar]
- Nussenblatt R. B., Gery I., Ballintine E. J., Wacker W. B. Cellular immune responsiveness of uveitis patients to retinal S-antigen. Am J Ophthalmol. 1980 Feb;89(2):173–179. doi: 10.1016/0002-9394(80)90108-7. [DOI] [PubMed] [Google Scholar]
- Nussenblatt R. B., Mittal K. K., Fuhrman S., Sharma S. D., Palestine A. G. Lymphocyte proliferative responses of patients with ocular toxoplasmosis to parasite and retinal antigens. Am J Ophthalmol. 1989 Jun 15;107(6):632–641. doi: 10.1016/0002-9394(89)90260-2. [DOI] [PubMed] [Google Scholar]
- O'Connor G. R. Doyne lecture. Heterochromic iridocyclitis. Trans Ophthalmol Soc U K. 1985;104(Pt 3):219–231. [PubMed] [Google Scholar]
- Palestine A. G., Roberge F., Charous B. L., Lane H. C., Fauci A. S., Nussenblatt R. B. The effect of cyclosporine on immunization with tetanus and keyhole limpet hemocyanin (KLH) in humans. J Clin Immunol. 1985 Mar;5(2):115–121. doi: 10.1007/BF00915009. [DOI] [PubMed] [Google Scholar]
- SUGAR H. S., BANKS T. L. FUCHS' HETEROCHROMIC CYCLITIS ASSOCIATED WITH FACIAL HEMIATROPHY (SCLERODERMA EN COUP DE SABRE). Am J Ophthalmol. 1964 Apr;57:627–632. [PubMed] [Google Scholar]
- Saraux H., Laroche L., Le Hoang P. Secondary Fuchs's heterochromic cyclitis: a new approach to an old disease. Ophthalmologica. 1985;190(4):193–198. doi: 10.1159/000309517. [DOI] [PubMed] [Google Scholar]
- Schwab I. R. The epidemiologic association of Fuchs' heterochromic iridocyclitis and ocular toxoplasmosis. Am J Ophthalmol. 1991 Mar 15;111(3):356–362. doi: 10.1016/s0002-9394(14)72322-0. [DOI] [PubMed] [Google Scholar]
- Tabbut B. R., Tessler H. H., Williams D. Fuchs' heterochromic iridocyclitis in blacks. Arch Ophthalmol. 1988 Dec;106(12):1688–1690. doi: 10.1001/archopht.1988.01060140860027. [DOI] [PubMed] [Google Scholar]
- Toledo de Abreu M., Belfort R., Jr, Hirata P. S. Fuchs' heterochromic cyclitis and ocular toxoplasmosis. Am J Ophthalmol. 1982 Jun;93(6):739–744. doi: 10.1016/0002-9394(82)90470-6. [DOI] [PubMed] [Google Scholar]
- Vadot E. Cyclite hétérochromique de Fuchs post-traumatique. Bull Soc Ophtalmol Fr. 1981 Aug-Sep;81(8-9):665–667. [PubMed] [Google Scholar]
- Vuorre I., Saari M., Tiilikainen A., Rasanen O. Fuchs' heterochromic cyclitis associated with retinitis pigmentosa: a family study. Can J Ophthalmol. 1979 Jan;14(1):10–16. [PubMed] [Google Scholar]
- Wyler D. J., Blackman H. J., Lunde M. N. Cellular hypersensitivity to toxoplasmal and retinal antigens in patients with toxoplasmal retinochoroiditis. Am J Trop Med Hyg. 1980 Nov;29(6):1181–1186. doi: 10.4269/ajtmh.1980.29.1181. [DOI] [PubMed] [Google Scholar]
- de Smet M. D., Yamamoto J. H., Mochizuki M., Gery I., Singh V. K., Shinohara T., Wiggert B., Chader G. J., Nussenblatt R. B. Cellular immune responses of patients with uveitis to retinal antigens and their fragments. Am J Ophthalmol. 1990 Aug 15;110(2):135–142. doi: 10.1016/s0002-9394(14)76981-8. [DOI] [PubMed] [Google Scholar]
- van de Plassche-Boers E. M., Drexhage H. A., Kokjé-Kleingeld M., Leezenberg H. A. Parameters of T cell mediated immunity to commensal micro-organisms in patients with chronic purulent rhinosinusitis: a comparison between delayed type hypersensitivity skin test, lymphocyte transformation test and macrophage migration inhibition factor assay. Clin Exp Immunol. 1986 Dec;66(3):516–524. [PMC free article] [PubMed] [Google Scholar]
- van der Gaag R., Broersma L., Rothova A., Baarsma S., Kijlstra A. Immunity to a corneal antigen in Fuchs' heterochromic cyclitis patients. Invest Ophthalmol Vis Sci. 1989 Mar;30(3):443–448. [PubMed] [Google Scholar]